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Purpose In this contribution we continue our investigations related to the activity index (AI) and its formal analogs. We try to replace the AI by an indicator which is better suited for policy applications. Design/methodology/approach We point out that fluctuations in the value of the AI for a given country and domain are never the result of that country’s policy with respect to that domain alone because there are exogenous factors at play. For this reason we introduce the F-measure. This F-measure is nothing but the harmonic mean of the country’s share in the world’s publication output in the given domain and the given domain’s share in the country’s publication output. Findings The F-measure does not suffer from the problems the AI does. Research limitations The indicator is not yet fully tested in real cases. R&D policy management In policy considerations, the AI should better be replaced by the F-measure as this measure can better show the results of science policy measures (which the AI cannot as it depends on exogenous factors).Originality/value We provide an original solution for a problem that is not fully realized by policy makers.

Hematological studies of fishes are useful in the diagnosis of many diseases as well as investigation of the extent of damage to the blood. These parameters act as efficient and insightful index to examine health status, physiological and pathological changes occurring in various fishes, i.e., metabolic perturbations in fish body thereby acting as non-specific biomarkers in the field of environmental toxicology, deficiencies and chronic stress in natural as well as aquaculture systems and checking water quality. The assessments of these blood parameters help the biologists to understand the fish homeostasis and biomonitoring of severe and chronic patho-physiological changes inferable to nutrition, water quality, or disease so as to establish the normal reference values of different species and determine systematic relationships among them. Lot of work on various aspects of hematological parameters and their relation with ecological factors has been reported on several fish species from different parts of the world. Each study attributes one or other factors responsible for variation in hematological parameters among different fish species. Therefore, in the present study, an attempt has been made to compile the information about the hematological studies of various fish species reported from different parts of the world, and through this study, a general overview has been generated about the major factors responsible for the variation in hematological parameters of fish. The review provides an insight to the characteristics of hematological values showing that fluctuating internal environment of the fish, along with other intrinsic (age, body size, the cycle of sexual maturity, health condition, nutritional state, species) and extrinsic factors (temperature, stress, season, dissolved oxygen, water quality, lotic or lentic environment, stocking density, photoperiod, sampling conditions, laboratory techniques), are the reasons of huge variability of hematological parameters in fishes.

This narrative review provides a comprehensive analysis of the several methods and technologies employed to measure handgrip strength (HGS), a significant indicator of neuromuscular strength and overall health. The document evaluates a range of devices, from traditional dynamometers to innovative sensor-based systems, and assesses their effectiveness and application in different demographic groups. Special attention is given to the methodological aspects of HGS estimation, including the influence of device design and measurement protocols. Endogenous factors such as hand dominance and size, body mass, age and gender, as well as exogenous factors including circadian influences and psychological factors, are examined. The review identifies significant variations in the implementation of HGS measurements and interpretation of the resultant data, emphasizing the need for careful consideration of these factors when using HGS as a diagnostic or research tool. It highlights the necessity of standardizing measurement protocols to establish universal guidelines that enhance the comparability and consistency of HGS assessments across various settings and populations.

This work discusses the issue on how to include data about property and violent crimes in the production technology for the assessment of police technical efficiency. It applies recent advances in Directional Distances and Nonparametric Estimators. We claim that crime is an external variable not under the control of the decision units in view of the fact that it is exogenously determined. The results from the Conditional Directional Distance Analysis can be relevant to cities with high property misdemeanors and homicide rates. Our analysis may be helpful to obtain a more robust and fair classification of police and justice units under similar circumstances, determine the empirical effect of crime on police productivity, their optimal input–output relationship, explore potential associations and compensation effects, and rewarding efficient policy makers in the prevention of crime based on measures of police efficiency and effectiveness.

It is well established that migraine is a multifactorial disorder. A deep understanding of migraine should be based upon both the underlying traits and the current states affected by different physiological, psychological, and environmental factors. At this point, there is no framework fully meeting these criteria. Here, we describe a broader view of the migraine disorder defined as a dysfunctional brain state and trait interaction. In this model, we consider events that may enhance or diminish migraine responsivity based on an individual’s trait and state. This could provide an expanded view for considering how migraine attacks are sometimes precipitated by “triggers” and sometimes not, how these factors only lead to migraine attacks in migraine patients, or how individuals with an increased risk for migraine do not show any symptoms at all. Summarizing recent studies and evidence that support the concept of migraine as a brain state–trait interaction can also contribute to improving patient care by highlighting the importance of precision medicine and applying measures that are able to capture how different traits and states work together to determine migraine.

Forecasting insect responses to environmental variables at local and global spatial scales remains a crucial task in Ecology. However, predicting future responses requires long-term datasets, which are rarely available for insects, especially in the tropics. From 2002 to 2017, we recorded male ant incidence of 155 ant species at ten malaise traps on the 50-ha ForestGEO plot in Barro Colorado Island. In this Panamanian tropical rainforest, traps were deployed for two weeks during the wet and dry seasons. Short-term changes in the timing of male flying activity were pronounced, and compositionally distinct assemblages flew during the wet and dry seasons. Notably, the composition of these distinct flying assemblages oscillated in consistent 4-year cycles but did not change during the 16-year study period. Across time, a Seasonal Auto-Regressive Integrated Moving Average model explained 75% of long-term variability in male ant production (i.e., the summed incidence of male species across traps), which responded negatively to monthly maximum temperature, and positively to sea surface temperature, a surrogate for El Niño Southern Oscillation (ENSO) events. Establishing these relationships allowed us to forecast ant production until 2022 when year-long local climate variables were available. Consistent with the data, the forecast indicated no significant changes in long-term temporal trends of male ant production. However, simulations of different scenarios of climate variables found that strong ENSO events and maximum temperature impacted male ant production positively and negatively, respectively. Our results highlight the dependence of ant male production on both short- and long-term temperature changes, which is critical under current global warming.

The aim of this systematic review with meta-analysis was to examine the influence of exogenous factors related to nutritional and hydration strategies and environmental conditions, as modulators of fatigue, including factors associated with performance fatigability and perceived fatigability, in endurance tests lasting 45 min to 3 h. A search was carried out using four databases: PubMed, Web of Science, SPORTDiscus, and EBSCO. A total of 5103 articles were screened, with 34 included in the meta-analysis. The review was registered with PROSPERO (CRD42022327203) and adhered to the PRISMA guidelines. The study quality was evaluated according to the PEDro score and assessed using Rosenthal’s fail-safe N. Carbohydrate (CHO) intake increased the time to exhaustion (p < 0.001) and decreased the heart rate (HR) during the test (p = 0.018). Carbohydrate with protein intake (CHO + PROT) increased lactate during the test (p = 0.039). With respect to hydration, dehydrated individuals showed a higher rate of perceived exertion (RPE) (p = 0.016) and had a higher body mass loss (p = 0.018). In hot conditions, athletes showed significant increases in RPE (p < 0.001), HR (p < 0.001), and skin temperature (p = 0.002), and a decrease in the temperature gradient (p < 0.001) after the test. No differences were found when athletes were subjected to altitude or cold conditions. In conclusion, the results revealed that exogenous factors, such as nutritional and hydration strategies, as well as environmental conditions, affected fatigue in endurance sports, including factors associated with performance fatigability and perceived fatigability.

The selection of relevant information from internal memory representations involves both voluntary process directed by endogenous factors such as task goals or intentions, and involuntary susceptibility to exogenous factors like stimulus features. Previous research has shown that competition between these endogenous and exogenous factors delays internal selection of task-relevant information. Nonetheless, it remains unclear whether task-irrelevant information is removed from or retained in working memory. Across two experiments, we investigated how this competition affects task-irrelevant working memory representations. By tracking pupillary signals after different retro-cues, we revealed that task-irrelevant information was maintained in working memory under guidance from either an anti retro-cue which creates a state of conflict between endogenous and exogenous selection mechanisms, or a null retro-cue, which relies solely on exogenous factors. In contrast, task-irrelevant information was dropped from working memory when guided by pro retro-cue that harmonizes endogenous and exogenous factors. These findings strengthen the view that retro-cue benefits derive from removing task-irrelevant information from memory, rather than the prioritization view that priority in the task-relevant information does not alter the state of task-irrelevant information.

Background Influenza-like illness (ILI) imposes a significant burden on patients, employers and society. However, there is no analysis and prediction at the hospital level in Chongqing. We aimed to characterize the seasonality of ILI, examine age heterogeneity in visits, and predict ILI peaks and assess whether they affect hospital operations. Methods The multiplicative decomposition model was employed to decompose the trend and seasonality of ILI, and the Seasonal Auto-Regressive Integrated Moving Average with exogenous factors (SARIMAX) model was used for the trend and short-term prediction of ILI. We used Grid Search and Akaike information criterion (AIC) to calibrate and verify the optimal hyperparameters, and verified the residuals of the multiplicative decomposition and SARIMAX model, which are both white noise. Results During the 12-year study period, ILI showed a continuous upward trend, peaking in winter (Dec. - Jan.) and a small spike in May-June in the 2–4-year-old high-risk group for severe disease. The mean length of stay (LOS) in ILI peaked around summer (about Aug.), and the LOS in the 0–1 and ≥ 65 years old severely high-risk group was more irregular than the others. We found some anomalies in the predictive analysis of the test set, which were basically consistent with the dynamic zero-COVID policy at the time. Conclusion The ILI patient visits showed a clear cyclical and seasonal pattern. ILI prevention and control activities can be conducted seasonally on an annual basis, and age heterogeneity should be considered in the health resource planning. Targeted immunization policies are essential to mitigate potential pandemic threats. The SARIMAX model has good short-term forecasting ability and accuracy. It can help explore the epidemiological characteristics of ILI and provide an early warning and decision-making basis for the allocation of medical resources related to ILI visits.

Historically, the standard of care for hemophilia A has been intravenous administration of exogenous factor VIII (FVIII), either as prophylaxis or episodically. The development of emicizumab, a humanized bispecific monoclonal antibody mimicking activated FVIII, was a subsequent advance in treatment. However, both exogenous FVIII and emicizumab require repeated and lifelong administration, negatively impacting patient quality of life. A recent breakthrough has been the development of gene therapy. This allows a single intravenous treatment that could result in long-term expression of FVIII, maintenance of steady-state plasma concentrations, and minimization (or possibly elimination) of bleeding episodes for the recipient’s lifetime. Several gene therapies have been assessed in clinical trials, with positive outcomes. Valoctocogene roxaparvovec (an adeno-associated viral 5-based therapy encoding human B domain-deleted FVIII) is expected to be the first approved gene therapy in European countries, including Italy, in 2022. Some novel challenges exist including refining patient selection criteria, managing patient expectations, further elucidation of the durability and variability of transgene expression and long-term safety, and the development of standardized ‘hub and spoke’ centers to optimize and monitor this innovative treatment. Gene therapy represents a paradigm shift, and may become a new reference standard for treating patients with hemophilia A.